NPIMap

Organization Active NPI

Faculty Associates, Inc

  • General Practice Dentistry
  • Yulee, FL
National Provider Identifier
1003451816
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FACULTY ASSOCIATES, INC
Practice address
76011 William Burgess Boulevard
Yulee, FL 32097
Phone
(352) 273-5801
Fax
(352) 392-3070
NPI assigned
Nov 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jean M Sweitzer
Title
Secretary/Treasurer
Phone
(352) 273-5787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

76011 William Burgess Boulevard
Yulee, FL 32097

Mailing address

76011 William Burgess Boulevard
Yulee, FL 32097
Phone (352) 273-5801

Other identifiers 1

IdentifierTypeStateIssuer
DN16197OtherFLFL DENTAL LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Faculty Associates Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573776000000",
    "number": "1003451816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76011 WILLIAM BURGESS BOULEVARD",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "32097",
            "telephone_number": "352-273-5801",
            "fax_number": "352-392-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76011 WILLIAM BURGESS BOULEVARD",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "32097",
            "telephone_number": "352-273-5801",
            "fax_number": "352-392-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACULTY ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-15",
        "last_updated": "2019-11-15",
        "status": "A",
        "authorized_official_last_name": "SWEITZER",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "352-273-5787"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL DENTAL LICENSE",
            "identifier": "DN16197",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yulee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.